McCain decision leaves GOP, ObamaCare and repeal at crossroads

Sen. John McCainJohn Sidney McCainSenate’s defense authorization would set cyber doctrine Senate Dems hold floor talk-a-thon against latest ObamaCare repeal bill Overnight Defense: Senate passes 0B defense bill | 3,000 US troops heading to Afghanistan | Two more Navy officials fired over ship collisions MORE’s (R-Ariz.) announcement that he will oppose the latest GOP ObamaCare repeal bill has left both parties wondering about the health law’s future.


Some Republicans are still pushing for repeal, given the tiny chance that they could still scrounge up enough votes before Sept. 30, the deadline for using budgetary rules that prevent a filibuster on the measure.

Vice President Pence said Friday that he and President Trump are “undeterred” in their effort to repeal the law, while Democrats say that they are on guard and will keep up the pressure.

But it seems more likely that the debate could be moving into a new stage.

Democrats are pushing for bipartisan talks in the Senate health committee, which Republicans shut down earlier this week.

McCain cited those talks in opposing the new bill, and Trump has given more nods toward working with Democrats in recent weeks. The president also wants to turn to tax reform, which is taking up an increasing amount of his workload.

A key issue in the bipartisan talks would be addressing payments known as cost-sharing reductions that help insurers provide coverage to people.

President Trump has threatened to cancel those payments in an effort to make ObamaCare “implode.” And he still could.

The bipartisan Senate talks were aimed at providing congressional approval for those funds to cement their legality and prevent Trump from canceling them. Insurers say that step would be critical in giving them certainty and preventing premium increases.

Sen. Lamar AlexanderAndrew (Lamar) Lamar AlexanderWeek ahead: Senators near deal to stabilize ObamaCare markets Corker pressed as reelection challenges mount Overnight Health Care: CBO predicts 15 percent ObamaCare premium hike | Trump calls Sanders single-payer plan ‘curse on the US’ | Republican seeks score of Sanders’s bill MORE (R-Tenn.), the chairman of the health committee and lead Republican negotiator, has not yet commented after McCain’s announcement.

It is highly unlikely that an end to the ObamaCare repeal effort would usher in an era of bipartisanship on healthcare.

House conservatives and liberal Democrats in the House and Senate have very different ideas on how to move forward on healthcare, something underlined by a CNN debate scheduled for Monday. Its participants include Sen. Bernie SandersBernard (Bernie) SandersOvernight Defense: Senate passes 0B defense bill | 3,000 US troops heading to Afghanistan | Two more Navy officials fired over ship collisions Senate passes 0B defense bill Dems fear lasting damage from Clinton-Sanders fight MORE (I-Vt.), whose single-payer system is gaining steam with Democrats, and the authors of the latest GOP ObamaCare repeal bill.

Without any bipartisan action or a final long-shot repeal attempt, ObamaCare, which has extended coverage to roughly 20 million people, will remain on the books.

Despite worries that there would be counties next year without any insurance options, insurers have stepped in to fill every area. Standard Poors found in July that ObamaCare markets are “stabilizing.”

Democrats believe there are plenty of risks to the law, however, as long as Trump is in the White House.

They accuse the president of threatening to “sabotage” the law — both with his threats on the insurer payments and a 90 percent cut to funds used to advertise and enroll people in the exchanges.

Within hours of McCain’s announcement on Friday, Democrats were pointing to an announcement that the administration would be taking healthcare.gov offline from 12 a.m. to 12 p.m. every Sunday during the enrollment period.

“More sabotage of our health care system,” Matt House, a spokesman for Senate Democratic Leader Chuck SchumerCharles (Chuck) Ellis SchumerSenate Dems hold floor talk-a-thon against latest ObamaCare repeal bill This week: Senate wrapping up defense bill after amendment fight Cuomo warns Dems against cutting DACA deal with Trump MORE (N.Y.), wrote on Twitter.

A spokesman for the Centers for Medicare and Medicaid Services said the downtime is part of regularly scheduled “maintenance outages” that happen every year. “This year is no different,” the spokesman said.

Frederick Isasi, executive director of Families USA, a leading pro-ObamaCare group, said that repeal is still a “very, very real threat for million and millions of Americans.”

But beyond that threat, he warned: “It’s a real concern that the administration is trying to sabotage the ability of Americans to get high quality affordable coverage.”

He warned that if enrollment efforts fall off, fewer healthy people will be enrolled in ObamaCare, which will harm the long-term sustainability of the exchanges.

McCain’s opposition is a major blow to the seven-year effort to repeal the law.

It almost certainly dooms the current legislation, given opposition to the bill from Sen. Rand PaulRandal (Rand) Howard PaulSenate Dems hold floor talk-a-thon against latest ObamaCare repeal bill Overnight Defense: Senate passes 0B defense bill | 3,000 US troops heading to Afghanistan | Two more Navy officials fired over ship collisions Lawmakers grapple with warrantless wiretapping program MORE (R-Ky.) and Sen. Susan CollinsSusan Margaret CollinsSenate Dems hold floor talk-a-thon against latest ObamaCare repeal bill Ryan: Graham-Cassidy ‘best, last chance’ to repeal ObamaCare Collins skeptical of new ObamaCare repeal effort MORE’s (R-Maine) statement that she is leaning against it. Collins has long been seen as a long-shot on repeal, and Republicans can only afford two defections.

It’s also possible there are other GOP senators who do not want to back the bill.

It’s of course still possible Republicans could make another effort at repeal either before or after Sept. 30.

Sen. Orrin HatchOrrin Grant HatchFinance to hold hearing on ObamaCare repeal bill Overnight Finance: CBO to release limited analysis of ObamaCare repeal bill | DOJ investigates Equifax stock sales | House weighs tougher rules for banks dealing with North Korea Week ahead in finance: Clock ticking for GOP on tax reform MORE (R-Utah) has even floated the idea of pairing ObamaCare repeal with tax reform under a new budget resolution that would again allow Republicans to avoid a Democratic filibuster.

Yet such a plan would put tax reform at risk, something that seems unlikely at this stage.

Rep. Mark Meadows (R-N.C.), the chairman of the conservative House Freedom Caucus, sounded a note of disappointment but did not criticize McCain after his announcement.

“Certainly today’s news is not a positive sign for people yearning for lower insurance premiums but to criticize Senator McCain would be to allow my disappointment to manifest itself in a manner that won’t produce a different outcome,” Meadows said. “Amendments and a floor vote should still be allowed.”

Scott Wong contributed.

 


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